Surgical Outcomes Analysis & Research, SOAR, is a research laboratory of the Department of Surgery at the Beth Israel Deaconess Medical Center with expertise in outcomes research. SOAR investigates surgical diseases and perioperative outcomes. The group focuses on pancreatic cancer, other gastrointestinal and hepatobiliary malignancies, vascular disease, and transplant surgery. SOAR's goal is to examine quality, delivery, and financing of care in order to have an immediate impact on patient care and system improvements. The group members utilize national health services and administrative databases, as well as institutional databases, to investigate and to address factors contributing to disease outcomes and healthcare disparities.
The work in SOAR incorporates advanced statistical techniques, including logistic regression, prediction score, and decision analysis modeling.
Outcomes Research evaluates the impact of health care on the health outcomes of patients and populations (see AHRQ for further details). This research may also include the evaluation of economic impacts linked to health outcomes, such as cost effectiveness and cost utility. An emphasis is placed on disease-oriented evaluations of care delivered in general, real-world settings. There are a wide range of outcomes to study including mortality, morbidity, functional status, mental well-being, and other aspects of health-related quality of life. Outcomes research is a multidisciplinary field of inquiry that examines the use, quality, delivery, and financing of health care services to increase knowledge and understanding of the structure, processes, and effects of health services for individuals and populations. Outcomes research provides the data to help solve critical problems that are faced in everyday clinical practice. The information learned can have an immediate impact on patient care and system improvement.
SOAR was founded in 2007 and relocated to Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA in 2012.
The mission of SOAR is to decrease perioperative morbidity and mortality, address health care disparities, and increase overall patient survival and quality of life. SOAR members hope, as part of the surgical outcomes research community, to improve overall outcomes for patients with surgical diseases.
Pancreatic cancer and pancreatic disease
Other gastrointestinal and hepatobiliary malignancies
Vascular disease
Transplant surgery and transplant psychology
Investigating factors that affect surgical outcomes for diverse specialties including colorectal, cardiovascular, transplant, plastic and reconstructive, and minimally invasive surgery
Beth Israel Deaconess Medical Center (BIDMC) in Boston, Massachusetts is a teaching hospital of Harvard Medical School. It was formed out of the 1996 merger of Beth Israel Hospital (founded in 1916) and New England Deaconess Hospital (founded in 1896).
See also: Beth Israel Deaconess Medical Center website
SOAR researchers use national health services and administrative databases as well as prospective institutional tissue-linked databases to investigate factors contributing to disease outcomes for pancreatic cancer, hepato biliary disease, vascular disease, colorectal disease, plastic and reconstructive surgery, and transplant medicine. These projects are under development with the use of the following databases:
AHRQ Nationwide Inpatient Sample (NIS)
National Surgical Quality Improvement Program (NSQIP)
Surveillance, Epidemiology, and End Results (SEER)
SEER Medicare
Additionally, individual research groups have access to and have expertise in disease- and specialty-specific databases. These include:
Vascular Study Group of New England (VSGNE), a regional vascular surgery database.
Vascular Quality Initiative (VQI), a national vascular surgery database.
American Society of Thoracic Surgery (ASTS) database
National Trauma Data Bank (NTDB)
Scientific Registry of Transplant Recipients
Also, SOAR researchers are conducting patient-centered outcomes research designed to:
Measure health-related, functional, and other outcomes from the perspective of patients and their families
Develop decision aid tools and strategies to assist patients in making complex choices about their healthcare
Compare the effectiveness of surgical interventions on patient-reported outcomes
James R. Rodrigue, PhD - SOAR Co-Director; Director, Behavioral Health Services and Research, The Transplant Center, Beth Israel Deaconess Medical Center; Professor, Psychiatry, Harvard Medical School
Marc L. Schermerhorn, MD - SOAR Co-Director; Chief, Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center; Associate Professor, Harvard Medical School
Jennifer F. Tseng, MD, MPH - SOAR Co-Director; Chief, Surgical Oncology, Beth Israel Deaconess Medical Center; Associate Professor, Surgery, Harvard Medical School
James McPhee, MD - 2005- 2007 Research Fellow
Joshua Hill, MD - 2006- 2007 Research Fellow
Melissa Murphy, MD, MPH - 2007- 2009 Evans Pancreatic Cancer Research Fellow
Jessica Simons, MD - 2007- 2009 Karen Sweeney Polkinghorn Pancreatic Cancer Research Fellow
James Carroll, MD - 2008- 2010 Linda J. Verville Research Fellow
Jillian Smith, MD, MPH - 2009- 2011 William D. Maney Research Fellow
Andrew Burr, DO - 2009- 2011 Research Fellow
Elizaveta Ragulin Coyne, MD - 2010-2012 Linda J Verville Research Fellow
Elan Witkowski, MD - 2010-2012 Research Fellow
Ruby Lo, MD - 2010-2012 Research Fellow
Rodney Bensley, MD 2010-2012 Research Fellow
Zeling Chau, MD, MPH - 2011-2013 Research Fellow
Thomas Curran, MD - 2012-2014 Research Fellow
Tanya Vishnevsky, PhD - 2013-2014 Research Fellow
Dominique Buck, MD - 2013-2015 Research Fellow
John "Jack" McCallum, MD, MPH - 2013-2015 Research Fellow
Lindsay Bliss, MD, MPH - 2013-2015 Research Fellow
Catherine Yang, MBChB, MPH - 2013-2014 Research Fellow
Mariam Eskander, MD - 2014-2016 Research Fellow
Peter Soden, MD - 2014-2016 Research Fellow
Sara Zetterval, MD - 2014-2016 "Research fellow"
Jodi-Ann Dattadeen - Transplant Surgery
Aaron Fleishman - Transplant Surgery
Alexa Hiley - Transplant Surgery
Maeve Moore - Transplant Surgery
Sucheta Ravindran - Transplant Surgery
Emily Schapira - Harvard Medical School Student
Sing Chau Ng, MS - Biostatistician
Jeremy Darling, BA - Research assistant, Vascular Surgery
Giles Whalen, MD - Surgical Oncology
Ted McDade, MD - Post-doctoral Research Scientist
Shimul Shah, MD - Transplant Surgery
Karim Alavi, MD - Colorectal Surgery
Heena Santry, MD - Trauma Surgery
(Frank) Zheng Zhou, MD, PhD - Consultant
Mary Sullivan, NP - Clinical Trials and Database Management
Mary Beth Curnen - Research Coordinator
Andreea Bodnari - Computer Science Assistant
Elisabet Manasanch, MD - Oncology
Ed Arous - UMass Medical School Student
Erin Cooley, MD - UMass Surgical Resident
Charles Psoinos - UMass Medical School Student
Maia Sharuk - UMass Medical School Student
Josh Shaw - UMass Medical School Student
Jason Wiseman - UMass Medical School Student
Stephen Skinner - UMass Medical School Student
Nikki Burish - University of Wisconsin School of Medicine Student
Osman Yousafzai - King Edward Medical University Student
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Witkowski Elan R, et al. (2012). "Is it worth looking? Abdominal imaging after pancreatic cancer resection: a national study". Journal of Gastrointestinal Surgery. 16 (1): 121–128. doi:10.1007/s11605-011-1699-z.
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Giles Kristina A, et al. (2010). "Stroke and death after carotid endarterectomy and carotid artery stenting with and without high risk criteria". Journal of vascular surgery. 52 (6): 1497–1504. doi:10.1016/j.jvs.2010.06.174.
Hill JS, Zhou Z, Simons JP, Ng SC, McDade TP, Whalen GF, Tseng JF (Jul 2010). "A Simple Risk Score to Predict In-Hospital Mortality after Pancreatic Resection for Cancer". Ann Surg Oncol. 17: 1802–1807. doi:10.1245/s10434-010-0947-x.
Manasanch EE, Smith JK, Bodnari A, McKinney J, Gray C, McDade TP, Tseng JF. "Tumor registry versus physician medical record review: A head-tohead comparison of pancreatic neuroendocrine tumor cases. In press, Journal of Oncology Practice.
McDade TP, Hill JS, Simons JP, Piperdi B, Ng SC, Zhou Z, Kadish SP, Fitzgerald TJ, Tseng JF (Jul 2010). "A National Propensity-Adjusted Analysis of adjuvant radiotherapy in the treatment of resected pancreatic adenocarcinoma". Cancer. 116 (13): 3257–66. doi:10.1002/cncr.25069.
Murphy MM, Ng SC, Simons JP, Csikesz NG, Shah SA, Tseng JF (Jul 2010). "Predictors of Major Complications after Laparoscopic Cholecystectomy:Surgeon, Hospital, or Patient?". J Am Coll Surg. 211 (1): 73–80.
Murphy MM, Tseng JF, Shah SA (May 2010). "Disparities in Cancer Care: An Operative Perspective". Surgery. 147 (5): 733–7. doi:10.1016/j.surg.2009.10.050.
Murphy MM, Witkowski ER, Ng SC, McDade TP, Hill JS, Larkin AC, Whalen GF, Litwin DE, Tseng JF (2010). "Trends in adrenalectomy: a recent national review". Surg Endosc. 24: 2518–2526. doi:10.1007/s00464-010-0996-z.
Nath B, Li YF, Carroll JE, Szabo G, Tseng JF, Shah SA. "Alcohol exposure as a risk factor for adverse outcomes in elective surgery. J Gastrointest Surg. 210 Nov;14(11)1732-41.
Piperdi M, McDade TP, Shim JK, Piperdi B, Kadish SP, Sullivan ME, Whalen GF, Tseng JF (Apr 2010). "A neoadjuvant strategy for pancreatic adenocarcinoma increases the likelihood of receiving all components of care: Lessons from a single institution database". HPB (Oxford). 12 (3): 204–210. doi:10.1111/j.1477-2574.2009.00150.x.
Schermerhorn ML (Dec 2010). "Current management of selected vascular emergencies". Semin Vasc Surg. 23 (4): 199.
Shah SA, Smith JK, Li Y, Ng SC, Carroll JE, Tseng JF (Oct 2010). "Underutilization of therapy for hepatocellular carcinoma in the medicare population". Cancer. 117: 1019–1026. doi:10.1002/cncr.25683.
Simons JP, Ng SC, Hill JS, Shah SA, Zhou Z, Tseng JF (Apr 2010). "In-hospital mortality from liver resection for hepatocellular carcinoma: a simple risk score". Cancer. 116 (7): 1733–1738. doi:10.1002/cncr.24904.
Simons JP, Ng SC, McDade TP, Zhou Z, Shah SA, Earle CC, Tseng JF (Apr 2010). "Progress for resectable cancer? A population-based assessment of US practices". Cancer. 116 (7): 1681–1690. doi:10.1002/cncr.24918. PMID 20143432.
Singla A, Hart JL, Li Y, Tseng JF, Shah SA (2010). "Hospitalization for Complications of Cirrhosis: Does Volume Matter?". J Gastrointest Surg. 15: 330–335. doi:10.1007/s11605-010-1398-1.
Singla A, Simons JP, Carroll JE, Li YF, Ng SC, Tseng JF, Shah SA (Mar 2010). "Hospital Volume as a Surrogate for Laparoscopic-Assisted Colectomy". Surg Endosc. 24 (3): 662–9. doi:10.1007/s00464-009-0665-2.
Smith JK, Hill JS, Ng SC, McDade TP, Shah SA, Tseng JF (Nov 2010). "Potential benefit of resection for stage IV gastric cancer: A national survey". J Gastrointest Surg. 14 (11): 1660–8. doi:10.1007/s11605-010-1351-3.
Smith JK, Ng SC, Hill JS, Simons JP, Arous EJ, Shah SA, Tseng JF, McDade TP (Sep 2010). "Complications after pancreatectomy for neuroendocrine tumors: A national study". J Surg Res. 163 (1): 63–8.
Wiseman JT, Sharuk MN, Singla A, Cahan M, Litwin DE, Tseng JF, Shah SA (May 2010). "Surgical Management of Acute Cholecystitis at a Tertiary Care Center in the Modern Era". Arch Surg. 145 (5): 439–44. doi:10.1001/archsurg.2010.54.
Zhou Z, McDade TP, Simons JP, Ng SC, Lambert LA, Whalen GF, Shah SA, Tseng JF (2010). "Surgery and radio therapy for retroperitoneal and abdominal sarcoma: both necessary and sufficient?". Arch Surg. 145 (5): 426–431. doi:10.1001/archsurg.2010.70.
Cooley EK, McPhee JT, Simons JP, Sweeney WB, Tseng JF, Alavi K. Colorectal neoplasia screening before age 50? "Current epidemiologic trends in the United States. Dis Colon Rectum 2009 Feb; 52(2):222-9.
Csikesz NG, Nguyen LN, Tseng JF, Shah SA (Jan 2009). "Nationwide Volume and Mortality After Elective Surgery in Cirrhotic Patients". J Amer Coll Surg. 208 (1): 96–103. doi:10.1016/j.jamcollsurg.2008.09.006.
Csikesz NG, Singla A, Simons JP, Tseng JF, Shah SA (Nov 2009). "The impact of socioeconomic status on presentation and treatment of diverticular disease". J Gastrointest Surg. 13 (11): 1993–2001. doi:10.1007/s11605-009-1031-3.
Eppsteiner RW, Csikesz NG, McPhee JT, Tseng JF, Shah SA (Apr 2009). "Surgeon Volume Impacts Hospital Mortality for Pancreatic Resection". Ann Surg. 249 (4): 635–40. doi:10.1097/sla.0b013e31819ed958.
Hill JS, McPhee JT, McDade TP, Zhou Z, Sullivan ME, Whalen GF, Tseng JF (2009). "Pancreatic Neuroendocrine tumors: the impact of surgical resection on survival". Cancer. 115 (4): 741–751. doi:10.1002/cncr.24065.
Hill JS, McPhee JT, Whalen GF, Sullivan ME, Warshaw AL, Tseng JF (Oct 2009). "In-Hospital Mortality after Pancreatic Resection for Chronic Pancreatitis: Population Based Estimates from the Nationwide Inpatient Sample". J Am Coll Surg. 209 (4): 468–76. doi:10.1016/j.jamcollsurg.2009.05.030.
McPhee JT, Eslami MH, Arous EJ, Messina LM, Schanzer A (Apr 2009). "Endovascular Treatment of Ruptured Abdominal Aortic Aneurysms in the United States (2001-2006) A Significant Survival Benefit Over Open Repair is Independently Associated with Increased Institutional Volume". Journal of Vascular Surgery. 49 (4): 817–26. doi:10.1016/j.jvs.2008.11.002.
Murphy MM, Knaus WJ, Ng SC, Hill JS, McPhee JT, Shah SA, Tseng JT (Sep 2009). "Total Pancreatectomy: A National Study". HPB (Oxford). 11 (6): 476–482. doi:10.1111/j.1477-2574.2009.00076.x.
Murphy MM, Shah SA, Simons JP, Csikesz NG, McDade TP, Bodnari A, Ng SC, Zhou Z, Tseng JF (Nov 2009). "Predicting Major Complications after Laparoscopic Cholecystectomy: A Simple Risk Score". Journal of Gastrointestinal Surgery. 13 (11): 1929–1936. doi:10.1007/s11605-009-0979-3.
Murphy MM, Simons JP, Hill JS, McDade TP, Ng SC, Whalen GF, Shah SA, Harrison LH, Tseng JF (Sep 2009). "Pancreatic Resection: A Key Component to Reducing Racial Disparities in Pancreatic Adenocarcinoma". Cancer. 115 (17): 3979–90. doi:10.1002/cncr.24433. PMID 19514091.
Murphy MM, Simons JP, Ng SC, McDade TP, Smith JK, Shah SA, Zhou Z, Earle CC, Tseng JF (Nov 2009). "Racial Differences in Cancer Specialist Consultation, Treatment, and Outcomes for Locoregional Pancreatic Adenocarcinoma". Ann Surg Oncol. 16 (11): 2968–77. doi:10.1245/s10434-009-0656-5.
Simons JP, Hill JS, Ng SC, Shah SA, Zhou Z, Whalen GF, Tseng JF (Dec 2009). "Perioperative Mortality for Management of Hepatic Neoplasm: A Simple Risk Score". Ann Surg. 250 (6): 929–934. doi:10.1097/sla.0b013e3181bc9c2f.
Simons JP, Ng SC, Hill JS, Shah SA, Bodnari A, Zhou Z, Tseng JF (Sep 2009). "In-hospital mortality for liver resection for metastatic disease: a simple risk score". J Surg Res. 156 (1): 21–25.
Simons JP, Ng SC, Shah SA, McDade TP, Whalen GF, Tseng JF (2009). "Malignant Intraductal Papillary Mucinous Neoplasm: Are We Doing the Right Thing?". Journal of Surgical Research. 167: 251–257. doi:10.1016/j.jss.2009.05.035.
Simons JP, Shah SA, Ng SC, Whalen GF, Tseng JF (Oct 2009). "National Complication Rates after Pancreatectomy: Beyond Mere Mortality". J Gastrointest Surg. 13 (10): 1798–805. doi:10.1007/s11605-009-0936-1.
Singla A, Csikesz NG, Simons JP, Li YF, Ng SC, Tseng JF, Shah SA (Aug 2009). "National Hospital Volume in Acute Pancreatitis: Analysis of the Nationwide Inpatient Sample 1998-2006". HPB (Oxford). 11 (5): 391–7. doi:10.1111/j.1477-2574.2009.00072.x.
Singla A, Li Y, Ng SC, Csikesz NG, Tseng JF, Shah SA (2009). "Is the growth in laparoscipic surgery reproducible with more complex procedures?". Surgery. 146 (2): 367–74. doi:10.1016/j.surg.2009.06.006.
Singla A, Simons JP, Li Y, Csikesz NG, Ng SC, Tseng JF, Shah SA (Dec 2009). "Admission volume determines outcome for patients with acute pancreatitis: a case-controlled analysis". Gastroenterology. 137 (6): 1995–2001. doi:10.1053/j.gastro.2009.08.056. PMID 19733570.
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Hill JS, McPhee JT, Messina LM, Ciocca RG, Eslami MH (July 2008). "Regionalization of abdominal aortic aneurysm repair: evidence of a shift to high-volume centers in the endovascular era". J. Vasc. Surg. 48 (1): 29–36. doi:10.1016/j.jvs.2008.02.048. PMID 18589227.
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Csikesz NG, Simons JP, Tseng JF, Shah SA (September 2008). "Surgical specialization and operative mortality in hepato-pancreatico-biliary (HPB) surgery". J. Gastrointest. Surg. 12 (9): 1534–9. doi:10.1007/s11605-008-0566-z. PMID 18612710.
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McPhee JT, Hill JS, Eslami MH (May 2007). "The impact of gender on presentation, therapy, and mortality of abdominal aortic aneurysm in the United States, 2001–2004". J. Vasc. Surg. 45 (5): 891–9. doi:10.1016/j.jvs.2007.01.043. PMID 17391899.
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